STACY ZACHMAN DOBREFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ZACHMAN

Last Name

DOBREFF

Business Name

STACY ZACHMAN DOBREFF

Original Issue Date

07/15/2002

Effective Date

07/25/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014